儿童脊髓症状性硬膜外脂肪增多症：脊髓损伤的磁共振成像表现
Symptomatic epidural lipomatosis of the spinal cord in a child: MR demonstration of spinal cord injury.
作者信息
Muñoz Alberto, Barkovich James A, Mateos Fernando, Simón Rogelio
机构信息
Department of Radiology, Section of Neuroradiology, University of California-San Francisco, CA 94143-0638, USA.
出版信息
Pediatr Radiol. 2002 Dec;32(12):865-8. doi: 10.1007/s00247-002-0811-7. Epub 2002 Oct 3.
We report a case of symptomatic epidural lipomatosis in an 8-year-old girl with Cushing's syndrome secondary to longstanding high-dose steroid therapy for Crohn's disease. MR imaging of the spine revealed massive diffuse epidural fat compressing the entire spinal cord with T2 prolongation in the central gray matter of the cord suggesting ischemic myelopathy. This finding has not been previously demonstrated on imaging. A proposed mechanism underlying these findings is discussed.
我们报告一例8岁患有库欣综合征的女孩，该综合征继发于因克罗恩病长期接受高剂量类固醇治疗。脊柱磁共振成像显示大量弥漫性硬膜外脂肪压迫整个脊髓，脊髓中央灰质T2延长，提示缺血性脊髓病。这一发现此前在影像学上尚未得到证实。本文讨论了这些发现背后可能的机制。
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